WP6 Training & Valorisation

Hugh Devlin & Gillian Armitt

Year 2 Objectives

WP Task Objectives

WP6.1 Completion of needs analysis of major stakeholders (D6.1, M6.3)

WP6.2 Completion of prototype website (M6.4)

WP6.3 Work in progress towards development of pre-definitive website (D6.2, M6.5)

WP6.3 Plan for programme of awareness raising

Task 6.1 - Needs Analysis of Stakeholders

• Deliverable D6.1 delivered Month 16

Pictures of available CBCT equipment on the market Links to manufacturers’ websites A detailed technological description of how CBCT works A history of the development of CBCT technology An objective technical comparison of different CBCT machines Information about Radiation doses and risks of CBCT *Dose Maps for CBCT A strategy for Radiation Protection of staff A strategy for Radiation Protection of patients A Quality Assurance Programme for users of CBCT * Information about Quality Control Test Tools for CBCT An image library of faults on CBCT images Descriptions of dental and dento-alveolar uses of CBCT Etc etc

WP 6 Implementation Group: preliminary website contents

Rank EADMFR survey (principally dental radiologists)

1 Information about Radiation doses and risks of CBCT *2 A Quality Assurance Programme for users of CBCT *3 A strategy for Radiation Protection of patients 4 A strategy for Radiation Protection of staff 5 Anatomical CBCT reference image library 5 = Pathological CBCT reference image library 7 Evidence-based Referral/ Selection Criteria for CBCT 8 Dose Maps for CBCT 9 Descriptions of the Dental clinical uses of CBCT 10 Information about Quality Control Test Tools for CBCT

EFOMP/MEDICAL PHYSICIST

1. An objective technical comparison of different CBCT machines

2 = Information about Radiation doses and risks of CBCT*2 = A Quality Assurance Programme for users of CBCT *4 Information about Quality Control Test Tools for CBCT 5 A detailed technological description of how CBCT

works 6. A strategy for Radiation Protection of patients 7 A strategy for Radiation Protection of staff 8 Dose Maps for CBCT 9 An image library of faults on CBCT images 10 A regularly updated database of links to scientific

publications on CBCT

EADMFR survey and EFOMP survey

• Accreditation/ validation of the training from an external body would be important

• Assessment using visual interactive elements (e.g. labelling images) would be essential

• Multiple Choice Questions (MCQs) would be essential

• Short answer questions (one word answers) would be essential

• ......development of training and assessment

Task 6.1 - Needs Analysis of Stakeholders

Required Functionality

• Diagnostic Forums• Discussion Boards• Text-based information• PowerPoint lectures• Wiki Section

Task 6.2 - Completion of prototype website

• Completed Month 21• Prototype website:

– Basic requirements derived from D6.1 findings– Various software solutions tested for suitability

Task 6.3 – development of pre-definitive website

• Ongoing, due M27.• Pre-definitive website contains core technologies

required in definitive website• Content:

– Substantial wiki content– Sample training materials (completed modules)

Task 6.3 – development of pre-definitive website

Information about Radiation doses and risks of CBCT KUL

A Quality Assurance Programme for users of CBCT NKUA

Information about Quality Control Test Tools for CBCT NKUA

A strategy for Radiation Protection of patients KUL

A strategy for Radiation Protection of staff KUL

Evidence-based Referral/ Selection Criteria for CBCT UNIMAN

Descriptions of the Dental clinical uses of CBCT NKUA

Anatomical CBCT reference image library VU

Dose Maps for CBCT KUL

A detailed technological description of how CBCT works KUL

A regularly updated database of links to scientific publications on CBCT MAHOD

An objective technical comparison of different CBCT machines KUL / UNIMAN

Wiki content

Curriculum

Learning Objectives

Delivery of Material

Assessment

Surveys of EADMFR

“Basic Principles” on website

Health Protection Agency

Powerpoint with voiceover

Wiki directed statements

Labelled diagrams of anatomy

Multiple choice questions

One word answers

The Curriculum

• How does CBCT work? Part 1 & Part 2• Radiation Dose and Risk of CBCT• Justification – principles and referral criteria• Optimization of dose – patients and staff• Optimization of dose 2 – quality assurance• Anatomy on CBCT images• Interpretation of pathology on CBCT

10 modules

After reading this module you will be able to recognise those clinical situations in endodontics where cone beam CT is recommended

Radiation Protection: Cone Beam CT for Dental and Maxillofacial Radiology. www.sedentexct.eu

Wiki Statements with evidence base

Delivery of Material

Intraoral radiography should be used first of all......but

Learning Objective

Safety and Efficacy of a New and Emerging Dental X-ray Modality

. to use the information to develop evidence-based guidelines dealing with justification.

• optimisation and referral criteria ....... for users of CBCT

www.sedentexCT.eu

Ariel 18 point

Ariel 24 point

Suggested slide layout

Task 6.3 – Plan for Programme of Awareness Raising

• Planning under way

• Key issue – develop sustainable web community:– Dentists– Medical physicists– Manufacturers– General public

Mission statement

•To provide a long-lasting online community that is the natural first choice for anyone (professional or public) that is looking for information on CBCT

•To provide the first choice method of getting verifiable training in CBCT for health professionals

• Dynamic community• Disseminate best practice (Guidelines)• Solving every day work problems• Information, training and accreditation

Task 6.3 – Awareness Raising• Approach:

• “Cultivating Communities of Practice”• E Wenger, R McDermott & W M Snyder

• Self-directed and informal learning, e.g. in the workplace

Task 6.3 – Awareness Raising• Core team agreed:

– One or more named members from each partner– WP6 workshop yesterday– Monthly on-line meetings

• Core team act as coordinators for on-line community

Task 6.3 – Awareness RaisingCoordinator roles:

• Identify potential member groups• Plan and facilitate community events, e.g. launch,

webinars etc• Help build the training materials and content• Facilitate active posting on forums• Informally link community members (forums)

Task 6.3 – Awareness RaisingInternational organisations

• EADMFR• EFOMP

National bodies

Belgium FANC (Federal Agency of Nuclear Control)France AFSSPS (French health product safety agency)Greece Greek Atomic Energy CommissionLithuania Radiation Protection CentreRomania National Commission for Nuclear Activity (CNCAN)UK Health Protection Agency

Task 6.3 – Awareness RaisingNational dental associations

Belgium VVT (Flemish association of dentists)VBT (Association of Belgian dentists)BHPA (Belgian Association of Hospital Physicians)

Greece Hellenic National Dental SocietyAthens Dental SocietyHellenic Society of Dentomaxillofacial Radiology

Lithuania Lithuanian Association of RadiologyRomania Romanian Dentists Association (CMDR)Sweden The Swedish Dental Association (SDA)

Swedish Society for Maxillofacial Radiology (SFOR)UK British Dental Association

The Royal College of Surgeons of England

Task 6.3 – Awareness RaisingWebsite launch

• Launch timing: June 2010– (Some) training modules ready– Forum in active use– More wiki content

• Advertising to potential members

Issues Resolved

• Developer appointed 31 March 2009

Issues Outstanding

• More work required on content:– Training materials – Wiki– Forums

• Generation of 3D content from data in DICOM format

DICOM = Digital Imaging and Communication in Medicine - a standard for handling, storing, printing, and transmitting information in medical imaging

Milestones & Deliverables

Milestone/

Deliverable

Objectives Due Date Status

D6.1, M6.3 Report of needs analysis of major stakeholders

Month 15 (rescheduled)

Delivered M15

M6.4 Prototype website completed

Month 20 (rescheduled)

Delivered M21

D6.2/M6.5 Pre-definitive website launched

Month 27 (rescheduled)

Ongoing (delayed – Month 30)

Future Planning• Monthly on-line meetings + WP6 workshop in CLUJ• Finalisation of training ‘brainstorm’ - end Jan• Learning outcomes developed – end Feb• Planning finalised – end Mar• Launch of pre-definitive website – end June

– With training materials and supporting content for selected modules– With ‘seeded’ discussion forums

• Advertising to potential users – June onwards• Contact potential organisations regarding long term hosting• Metrics – monitor website activity

Task 6.2 - Completion of prototype website

• 3 possible solutions considered:– Bespoke system written from ground up– ‘Framework’ system, with some code ready-written– Off the shelf Content Management System (CMS)

Task 6.2 - Completion of prototype website

• Drupal CMS system selected as preferred solution– Already in use in Manchester– Allows rapid development– Open source– Highly extensible